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Jonathan Moore, LLC
NPI 1982486643 · on the registry since 2023
Practice
- Address
- 170 College Ave Ste 310
Holland, MI 49423 - Phone
- (616) 745-6748
- Organisation at this address
- Douglas A Bleyenburg Dds Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan